Provider Demographics
NPI:1932173150
Name:CHERNIN, MARINA
Entity type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:CHERNIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2007
Mailing Address - Country:US
Mailing Address - Phone:973-263-7300
Mailing Address - Fax:973-263-3076
Practice Address - Street 1:259 BALDWIN RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2007
Practice Address - Country:US
Practice Address - Phone:973-263-7300
Practice Address - Fax:973-263-3076
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ171081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice